Jiang Tiffany, Kost Samantha, Doshi Pratik, Ho Pei Ching, Phillips Sarah Dunn, Mutindi Eunice, Mueller Jenna L, Fitzgerald Tamara N
Trinity College of Arts and Sciences, Duke University, Durham, NC, USA.
School of Medicine, Duke University, Durham, NC, USA; Clark School of Engineering, University of Maryland, College Park, MD, USA.
Value Health Reg Issues. 2023 Jan;33:83-90. doi: 10.1016/j.vhri.2022.09.004. Epub 2022 Oct 29.
Medical devices that suit the needs and challenges of low- and middle-income countries are desperately needed. To provide sustainable access to such devices, business approaches must be developed to meet the demands of individual economic, healthcare, and innovation ecosystems. Currently, there is a gap in the literature regarding business models for medical devices in low- and middle-income countries.
A multimodal approach using literature review and key informant interviews was performed to determine critical components of business models for medical device organizations operating in LMICs, specifically focusing on models in emerging markets.
The search resulted in 4,674 articles, of which 31 were determined to be relevant and were reviewed. Additional sources included 1 government website, 5 nongovernmental organization websites, 2 private enterprises, and 6 publicly available, non-peer reviewed websites and 1 video. From these sources, four major criteria were found to be necessary for successful development of medical device business models in emerging markets: value proposition, partnerships, strategic pricing, and funding models.
Innovators must custom tailor their business model when implementing these elements to the regulatory, cultural, and economic landscapes of each setting. This will improve access to safer, affordable medical care and successfully bring innovative technologies to emerging markets.
迫切需要适合低收入和中等收入国家需求与挑战的医疗设备。为了可持续地获取此类设备，必须开发商业方法以满足各个经济、医疗保健和创新生态系统的需求。目前，关于低收入和中等收入国家医疗设备商业模式的文献存在空白。
采用文献综述和关键信息人访谈的多模式方法，以确定在低收入和中等收入国家运营的医疗设备组织商业模式的关键组成部分，特别关注新兴市场的模式。
检索得到4674篇文章，其中31篇被确定为相关并进行了审查。其他来源包括1个政府网站、5个非政府组织网站、2个私营企业、6个公开可用的非同行评审网站和1个视频。从这些来源中，发现新兴市场成功开发医疗设备商业模式需要四个主要标准：价值主张、合作伙伴关系、战略定价和融资模式。
创新者在将这些要素应用于每个环境的监管、文化和经济格局时，必须量身定制其商业模式。这将改善获得更安全、负担得起的医疗保健的机会，并成功地将创新技术引入新兴市场。
